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Physical stimulations and their osteogenesis-inducing mechanisms





































           Figure 1. Schematic of interactions of various signaling pathways under mechanical stimulation. Wnt receptors, integrins, insulin-
           like growth factor (IGF), G proteins (G) and Ca  channels were stimulated by mechanical stimulation, thereby inducing a series of
                                               2+
           transcription factors to regulate osteoblast proliferation and differentiation.

           factor κB ligand, etc. Di et al. [64]  also found that 16 T   It  was  owing  to the  nonlinear intensity  window
           static magnetic field inhibited osteoclasts formation   effect of pulse electromagnetic field in the process of
           and differentiation due to the decreases of tartrate-  regulating cell behaviors [68] . Zhou et al. [69]  investigated
           resistant acid phosphatase activity, and resulted in   the bioeffects of 50 Hz sinusoidal electromagnetic
                                                   [36]
           osteoclasts apoptosis and necrosis. Kotani et al.  found   fields at different intensities (0.9 mT, 1.2 mT, 1.5
           that 8 T static magnetic field stimulated the osteoblast   mT, 1.8 mT, 2.1 mT, 2.4 mT, 2.7 mT and 3.0 mT) on
           transformed to rodlike shapes, cells differentiation   the osteoblasts differentiation and Collagen-I mRNA
           and matrix synthesis. Moreover, static magnetic field   and bone morphogenetic protein-2 expression. The
           regulated the orientation of cells and bone formation   results showed that the electromagnetic fields at 1.5 ~
           parallel to the static magnetic field direction (Figure   2.4 mT groups significantly increased the osteoblasts
           2B and 2C). Some studies have shown that magnetic   differentiation and the expression of Collagen-I mRNA
           nanoparticles in 3D printed scaffolds could also    and bone morphogenetic protein-2. Moreover, the
           pro duce magnetic stimulation on bone cells [65–67] .   calcium content and calcified nodules of the 1.8 mT
           Huang et al. investigated the effects of magnetic   group were highest than other groups. Kamolmatyakul
           stimulation which produced by incorporation of Fe O    et al. [70]  reported that pulse electromagnetic field (50
                                                        2
                                                          3
           magnetic nanoparticle in polylactic-co-glycolic acid/  Hz, 1.5 mV/cm) significantly increased the proliferation
           collagen/hydroxyapatite composite scaffolds on bone   rate of osteoblast-like cells. Diniz et al. [71]  proposed
           mesenchymal stem cells. They found that the magnetic   that pulse electromagnetic field (15 Hz, 7 mT) could
           nanocomposite scaffolds obviously enhanced the      promote osteoblasts differentiation in the proliferation
           proliferation and differentiation of bone mesenchymal   and differentiation stage, and they pointed out that the
                   [65]
           stem cells .                                        promotion was not associated with the increased number
            Pulse  electromagnetic  field  could  induce  bone   of cells. Wang et al.  investigated the effects of 15 Hz
                                                                                [72]
           formation as well as inhibit bone resorption by re-  pulse electromagnetic field with various intensities of
           gulating the osteoblasts and osteoclasts formation,   0, 0.5, 1, 2 and 3 mT on osteoclast. The results showed
           proliferation and differentiation. The effectiveness of   that 0.5 mT pulse electromagnetic field significantly
           regulation depended on the magnetic field intensity.   inhibited the osteoclast formation and maturation. Chang

           4                           International Journal of Bioprinting (2018)–Volume 4, Issue 2
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